Treatment of 50 Cases of Senile Dementia by Acupuncture Combined with Inhal

　　
　　Geng Jian Vta
　　Xuzhou HiciPal TCM HOsPital, Jiangsu Province 22I009
　　cnfor Data
　　Case selection: l00 cases who met the
　　diagnostic criteria of senile demntia
　　formuated by Wan Association of
　　psychiany in Handbook Of Diagnosis and
　　statistics (DsM-m-R, 3rd revised edition)
　　were enrolled in this study and the Hachinski
　　Ischenda Rating Scale was used to
　　Mentiate muhPle iofartiOnal demena
　　M) ftom primary degenerfore dementia
　　(PDD). TheraPeutic effects were evaluated
　　according tO the criteria stiPulated by National
　　Traditional Chinese Medicine Conference on
　　Senile Dementia he1d in May 1990' Crhaal
　　CT was perfOrmed in all the patients before
　　and ds the treatmen.
　　.
　　Geneal data: There were 100 case in the
　　..
　　senes, mchiding 70 males and 30 fema1es.
　　Their age ranged from 56 tO 8l years,
　　averaging 6l.3t6.4 years. Their educational
　　leve1s were: taldle school or higher 42 cases,
　　Primary school 48, and illiteracY 30. The
　　disease course ranged from l0 months to 2
　　.
　　years, averagmg 17t8 months. Of them, 68
　　cases were MID and 42 cases PDD' The
　　patients were randoInly assigned to the
　　trCanllt and cofltrOl grOUs, samlar ln age,
　　sex, educational level, and StatC of ilinss.
　　Method
　　1. For controf gN: Intravenous driP of
　　250 Inl of 5% glucose (or nonnal sallne) and
　　30 nd of brain tissue extraCt was given once a
　　day l2 times constituting one theraPeutic
　　.
　　course. The therapeut1c effects were evaluated
　　after 2 courses.
　　2. For treatmellt grOU:
　　AcuPoints seleCted: 1) GrouP I:
　　Sishencong (EX-HNl), Baihui (GV 20)'
　　Shenmen wr 7), Fenglong (ST 40) and
　　Neiguan (PC 6); 2) GrouP II: Ganshu peL
　　l8), Shenshu (BL 23) and Zusani (ST 36)'
　　A model 402 ultrasound nebUzatiOn
　　aPParatus made in Shanghai was used fOr the
　　delivery of drug aerosol and oxygen. A
　　ndxtUre of 15 Inl of distil1ed wate and l5 Inl
　　,
　　of hethal extract (corresponding tO ho l5g
　　crude drug) was poured into the pOt of the
　　nebulization aPParams, and the medical pure
　　oxygen was indced from the air inlet of the
　　aPPardss with a flow rate Of 3UInin' The
　　patient inhaled via the mouth the ndxeduP

aerosol fOr 30 ndnutes. In the mean tim,
　　acuPunctUre was Pebo once a day
　　altematoly on the points of GrouP I with the
　　reducing methed and on the points of GrouP
　　II. with the reinforcing methOd. The needies
　　were retailled for 30 fornutes, with l2 sessions
　　constitUting one theraPeuhc course. Aner 3
　　courses, the theraPeutic effects were evaluated.
　　Criteria fOr Therapeutic Effects1
　　Cured: The main symPtoms disaPpear
　　basically; and the patient is conscious with
　　sound orientation, and can give correct
　　TabIe. TheraPeutic results
　　Case No. Cured Effective Ineffective TOtal effective rate (%)
　　Controgroup 50 8 30 l2 76
　　TreatInntgroup 50 l2 36 2 96
　　Discussion
　　AcupunctUre combined with inhaIahon
　　of herbal extrast and oxygen is designed
　　accondng tO the train of thought of
　　cOmbination of tradihonal Chinese medicine
　　(TCM) with westem medicine. During the
　　trCtrillt, the patiellt receives acuPunctIJre,
　　and at the same time inhales Chinese drugs
　　and oxygen intO the lung, maldng the former
　　and latte exert synchronous funchons in the
　　human bedy with raPd and obvious
　　theaPeutic effects.
　　In TCM, supplementing kidney
　　resolving Phlegm, removing blood stasis and
　　restoring consciousness are the conventional
　　metheds used fOr treatment of senile
　　demenha.2 We hOld that the key factor
　　answers, respond PromPly, take care of
　　oneself and tak pnd in certain social
　　achvities.
　　Effctive: The main mental symPtms
　　have some relnd or partial disappearance; and
　　the patient can basically take care of oneself
　　and give correct answer though with demena.
　　Ineffective: The main symPtoms were
　　not imProved or even aggravatCd, incaPability
　　of tdeng care of oneself with incorrect answer
　　tO questions.
　　TheraPeutic Results (see the fOl1owing Table)
　　inducing senile dementia is stagnation of
　　phlegm, resulting in loss of mental achvity;
　　and that it is the most twortan to remove
　　obstrUction. For inducing resuscitation,
　　restoring consciousness and Promoting blood
　　circulation, the herbal drugs used were
　　Shetiang (Moschus), Zaoiao ooctUs
　　Gleditsiae Sinensis), BingPan (Bomeolum
　　Synthehcum) and Chuanxiong (arizoma
　　Chuedong); and the ponts selected wer
　　Sishencong gr-HNl), Baihui (GV 20),
　　Shenmen (HT 7) and Fenglong (ST 40). The
　　dmgs of Huangjing (anzoma Polygonati),
　　Heshouwu (Radix Polygoni Multiflori) and
　　Tusizi (Semen Cuscutae), and the points
　　Ganshu (BL 18), Shenshu (BL 23) and Zusanll
　　(ST 36) points were added fOr strengtheulng

the body resistance. comPensation of the damaged neurons.
　　The results of dris stUdy demonstrate
　　that WunctUre combined with inhalation Of References
　　herbal drugs and oxygen may exert an Obvious 1 #f:&a$. Zty$Aghty@M&#klRffttiY
　　theraPeutic effect for senile dementia, and it is tt8$(i4&$). +kteg, l991; 2: 56.
　　suPerior to that of the contrO grou; and that 2 $R. t$M$$&opggrkfrffi&. gn)Ilopff,
　　the above therapy Inay possibly have the l993; ll: 23. \
　　functions of Promoting regeneration and (Translatedby Liu Li k0 W) /